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The Medicaid Analytic eXtract (MAX) is a data system derived from the Medicaid Statistical Information System (MSIS), which contains extensive information about Medicaid enrollees and the Medicaid-financed health services they use during a calendar year. MAX was developed and is produced by the Centers for Medicare & Medicaid Services (CMS). This chartbook is based primarily on 2008 MAX data and presents an overview of enrollee demographic and enrollment characteristics, service utilization, and expenditures at the national and state levels in 2008. This chartbook builds on its predecessors, which used MAX 2002 and MAX 2004 data (Wenzlow et al. 2007; Perez et al. 2008). This chartbook updates information in the previous chartbooks and also provides new information based on changes in the availability of information in MAX and data changes reported by states. In addition, notable changes have been made to the Medicaid program since the last chartbook, including the implementation of the Medicare Modernization Act of 2003 and the Deficit Reduction Act of 2005.